Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $563.35 / $1,065.99	Professional		$477.63	$563.35	$1,065.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,961.52 / $9,829.73 / $13,868.28	Facility		$5,961.52	$9,829.73	$13,868.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $981.53 / $1,194.14	Professional		$700.25	$981.53	$1,194.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.57 / $853.30 / $1,213.09	Professional		$576.57	$853.30	$1,213.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $649.99 / $972.77 / $2,406.80	Professional		$649.99	$972.77	$2,406.80
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.09 / $739.53 / $823.82	Professional		$688.09	$739.53	$823.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $931.55	Professional		$32.34	$32.34	$931.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.22 / $737.02 / $1,272.47	Professional		$537.22	$737.02	$1,272.47